2301 Plastic Surgery: Michael A. Bogdan, MD, FACS
2301 Westgate Plaza
Grapevine, TX 76051
Phone: (817) 442-1236
Monday–Friday: 9 a.m.–5 p.m.
Rhinoplasty Before & After Case 53
*Keep in mind that each patient is unique and your results may vary.
This 19 year old gentleman from the Fort Worth area wanted to change the appearance of his nose. He is a driven individual and already very successful in school. Although he was quite self-secure, he wanted to change his appearance before starting college, as he understands that first impressions are a reality and he wanted to avoid the unnecessary hinderance his nose caused. He presented to my Southlake surgical practice interested in rhinoplasty surgery (nose reshaping). On evaluation, I noted several areas for improvement. On frontal view, his nose was markedly crooked, and overly long for his face. On oblique and profile views, it was evident that he had a significant dorsal hump, with a hanging tip. I suggested correction of these regions through the open rhinoplasty approach. (Although I favor the closed approach for the majority of my patients, in cases such as these requiring significant tip support or correction of major deviation, I find the open approach more powerful in achieving the desired results.)
During surgery, I performed an extensive open septorhinoplasty where I lowered the dorsal height, narrowed the nose with osteotmies and infractures, corrected his hanging tip, and refined the tip with suture techniques. I use quilting sutures after the septoplasty, and did not need to pack his nose. Aside from post-operative swelling, his recovery was uneventful. His photos are show just under 3 weeks from surgery, and do show the general changes that we achieved. He now has a strong, masculine nose that is much more harmonious with his facial features. Currently there is marked swelling of the nose (which makes the columella incision visible with a “step-off” on the side view), and as this resolves, the refinement and final results will become visible.
He is already very happy with the changes we achieved, and has started college with a new appearance. An interesting item he mentioned in a post operative visit is that he is excited to finally purchase some sunglasses. (He had never worn sunglasses, as he did not want to bring additional attention to his nose!) I wish him a successful career in business.